SRC-13322-51739
4 vaccinations
3 coded responses
50 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 958 / CA
- Registered
- 2021-04-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
C4S-15966-87182
Child or adolescent in my care · Male · 2022-10-07
Timeline
-
2021-04-15
Registered in v-safe
-
2021-04-15
Dose 1 — Pfizer-BioNTech
-
2021-04-15
Survey response — day 0, dose 1MedDRA: No adverse event — Feeling: GoodFree text:MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-16
- 2021-04-17
- 2021-04-19
- 2021-04-20
- 2021-04-24
- 2021-04-29
-
2021-05-06
Dose 2 — Pfizer-BioNTech
- 2021-05-06
- 2021-05-07
- 2021-05-08
- 2021-05-09
- 2021-05-10
- 2021-05-11
- 2021-05-12
- 2021-05-13
- 2021-05-20
- 2021-05-27
- 2021-06-03
- 2021-06-10
- 2021-06-17
- 2021-08-05
- 2021-11-04
-
2021-12-01
Dose 3 — Pfizer-BioNTech
- 2021-12-01
- 2021-12-02
- 2021-12-03
- 2021-12-04
- 2021-12-05
- 2021-12-06
- 2021-12-07
- 2021-12-08
- 2021-12-15
- 2021-12-22
- 2021-12-29
-
2022-01-05
Survey response — day 35, dose 3MedDRA: Pregnancy test positive — Feeling: GoodFree text: Positive Pregnancy testMedDRA releases: 2024-11 · check-in free text available
- 2022-01-12
-
2022-03-02
Survey response — 3 months, dose 3MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: CovidMedDRA releases: 2024-11 · check-in free text available
-
2022-03-02
Report sent to call center — 3 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-03-03
-
2022-03-04
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-06-01
-
2022-10-06
Dose 4 — Pfizer-BioNTechCo-administered: Flu
- 2022-10-07
- 2022-10-08
- 2022-10-09
- 2022-10-10
- 2022-10-11
- 2022-10-12
- 2022-10-15
- 2022-10-20
- 2022-10-27
- 2022-11-03
- 2022-11-10
- 2022-11-17
- 2023-04-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-15 | Pfizer-BioNTech | |
| 2 | 2021-05-06 | Pfizer-BioNTech | |
| 3 | 2021-12-01 | Pfizer-BioNTech | No |
| 4 | 2022-10-06 | Pfizer-BioNTech | Flu |
Call center
1 call center case
1 successful
Free text
Release 7 — day 0, dose 1
Release 10 — day 35, dose 3
Symptoms: Positive Pregnancy test
Release 11 — 3 months, dose 3
Symptoms: Covid
Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".
MedDRA terms by release
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | COVID-19 | · | · | ✓ |
| SD | Pregnancy test positive | · | · | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release